Trinity Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

F1401 Issued in FL

Legal business name

TRINITY SURGERY CENTER LLC

Practice address

2020 Trinity Oaks Blvd
Trinity, FL 34655-4402

Phone

(727) 372-4055

Fax

(727) 372-4066

NPI assigned

May 24, 2005

Last updated

Nov 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna St Louis

Title

VP

Phone

(727) 394-6747

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Baycare Surgery Center Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Trinity Surgery Center LLC Dba Baycare Surgery CenterCCN 10C0001401

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1801899687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840307",
            "telephone_number": "727-372-4055",
            "fax_number": "727-372-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TRINITY OAKS BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554402",
            "telephone_number": "727-372-4055",
            "fax_number": "727-372-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "ST LOUIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "727-394-6747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "F1401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0941",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0755109-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baycare Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trinity Hearing &Balance Center
• Trinity Medical Associates L L C
• Trinity Oaks Family Medicine LLC
• Trinity Pain Center LLC
• Trinity SNF Operations LLC
• Trinity Ufi LLC
• Trinity Village Dental, LLC
• Darshan Ghanshyambhai Trivedi, M.D.F.A.A.P
• Ronald Troxell, DPM
• Truchas Inpatient Services LLC

• Ambulatory Surgical Clinic/Center in Trinity, FL
• Providers in Trinity, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.